2018 Broker Food Show Registration Note: All booths must be paid in full by August 20 in order to participate in the Fall Show. Step 1 of 3 33% 2018 Fall Food Show Broker RegistrationLamar Dixon Expo Center - 4H Building 9039 South St. Landry Ave., Gonzales, LA 70737 Vendor Setup: Tuesday, September 25, 2018 | Show Day: Wednesday, September 26, 2018Brokerage Company NameName on Booth Sign*Key Contact Name*Key Contact Email* Which Departments do you work with?* 1 FULL BOOTH (10x10) INCLUDES THE FOLLOWING: 2 - Chairs 1 - Small trash can 1 - 6ft table wrapped & skirted (front) 1 - Booth sign for vendors with full booth 1 - 8ft table with linen (back) 1 - 8 ft high back drop drape 2 - 3 ft side drape 40 - Copies of food show surveys 1 - 110 Outlet Lunch during vendor set-up day PAYMENT OPTIONSPlease choose your payment option:*I will send in entire booth payment by a broker-funded check.I choose to break up my booth payment(s) among multiple vendors. AGBR will process the payments (deductions and/or checks) on their behalf at a booth cost of $2500 per booth. If a check must be collected from a Vendor- an invoice will be sent to the Broker. (If a single Vendor is purchasing an entire booth- the booth rate of $2,300 will remain.)BOOTH AGREEMENT1 Full Booth Price: $2,300.00 Quantity: 1 Full Booth Price: $2,500.00 Quantity: Would you like to purchase carpet for your booth(s)?Booth Carpet (except in perishable area) Price: $40.00 Quantity: Total Due: $0.00 NOTE: Under no circumstances will any booths be allowed to open that have not fully paid.PAYMENTPlease list the method of payment. Make checks payable to: Associated Grocers, Attn: Leigh Ann Charles Fall Food Show, P.O. Box 261748, Baton Rouge, LA 70826-1748 Payments Due: August 20, 2018 If the deadline is missed, all surveys submitted will be pulled. A Late payment will be subject to a $300 late fee.*Vendor NumberVendor NamePayment AmountPayment Type Check Billback Don't know your Vendor Number? Want to double check your Vendor Number? Just Log into Vendor Portal! VENDOR REPRESENTATIVESList All Vendors who will be attending. (This is to be sure a name badge is provided.)* Please list this information as it would appear on a name badge First NameLast NameCompanyTitleAttending Show Setup?Attending Kick-Off Cookout?Attending Show Day? Yes NoYes NoYes No INTERNETAssociated Grocers will provide wifi during the Food Show.ADDITIONAL ELECTRICAL NEEDS1-110 Outlet comes with your booth. If you need any extra electrical needs, you must email Leigh Ann Charles, email@example.com Do you need any extra electrical?*YesNoPlease list below any additional needs or special request you may have.We will review all options. No commitments.CONCESSION STAND USAGEThe concession stand WILL NOT be available for use. All equipment needed to prepare/cook your samples must be brought with you. Electric fryers ARE ALLOWED (Gas fryers ARE NOT PERMITTED!). All electric fryers used must have a lid available for immediate use and it must be placed on a non-flammable surface. Fryers must be at least 2ft apart as well as 2ft away from combustible materials. A fire extinguisher must be provided within the booth for each device.AG RETAILER HOTEL GIFT BAGSAre there any new items you would like to potentially include in the AG retailer hotel gift bags?*YesNo * Product must be donated, 200 gift bags will be made * ** Leigh Ann will contact you if interested. ** Kickoff Event - Casino NightAre you interested in sponsoring a casino table?*YesNoAre you interested in sponsoring a Retailer Raffle prize at Casino Night?*YesNoLeigh Ann will contact you regarding the Casino Night sponsorship.GMRA Golf TournamentWould you like to receive information about the GMRA Golf Tournament?YesNoPlease Mark that you have read the supplied information.* Is the above information correct?